Rural Health Information Hub Latest News

CMS Expands Electronic Prior Authorization Initiative

The Centers for Medicare & Medicaid Services (CMS) announced the expansion of electronic prior authorization as part of its Health Tech Ecosystem initiative.

Building on efforts that began in January 2026, CMS is strengthening collaboration among health plans, providers, and certified electronic health record (EHR) vendors to streamline prior authorization for medical items and services. The expanded initiative brings together health systems, hospitals, physician practices, EHR vendors, and digital health developers—alongside payers—to enable end-to-end, consistent electronic prior authorization workflows across the healthcare system. Participants will also align with CMS Interoperability and Prior Authorization Final Rule requirements, focusing on closing workflow gaps and improving technical coordination across stakeholders.

Full implementation of electronic prior authorization infrastructure is expected by January 1, 2027.

New Medicare GLP-1 Bridge Demonstration to Begin

The Centers for Medicare & Medicaid Services (CMS) announced that beginning July 1, 2026, eligible Medicare beneficiaries will have access to GLP-1 medications for $50 per month.

Eligible Medicare beneficiaries enrolled in Medicare Part D prescription drug plan will be able to access these medications through the Medicare GLP-1 Bridge Demonstration, which will run through December 31, 2027. The Medicare GLP-1 Bridge operates under the Secretary’s authority to test new approaches to care delivery under Medicare and is supported by CMS, including centralized processes for claims adjudication and payment to pharmacies. Part D sponsors will not bear financial risk for eligible GLP-1 drugs provided under the demonstration and will not be required to opt in for their enrollees to access these medications.

CMS will continue to work with stakeholders—including providers, pharmacies, and manufacturers—to support implementation and ensure all partners have all information prior to the demonstration’s launch.

Medicare Shared Savings Program ACO Application Toolkit Available

The Centers for Medicare & Medicaid Services (CMS) released a toolkit with resources for Accountable Care Organizations (ACOs) to apply for the upcoming cycle of the Medicare Shared Savings Program.

Applications will be accepted through the ACO Management System from June 9 through noon ET on June 23. For more information, visit the Application Types & Timeline webpage. Email questions to SharedSavingsProgram@cms.hhs.gov.

Application deadline is noon ET June 23, 2026.

Final Rule: Criteria for Determining Maternity Care Target Areas

The Health Resources and Services Administration (HRSA) issued a final rule updating the criteria for determining Maternity Care Target Areas (MCTAs), which are geographic areas within Health Professional Shortage Areas (HPSAs) experiencing shortages of maternity care professionals. The rule also includes responses to public comments received on the proposed rule.

Updated MCTA designations will be implemented beginning August 15, 2026.